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Short title: 51183-2012-ED000-Aeronautics Btagged 508 source=TAGGING 1(a) 1=TESTING; File change date and time: 09:06, 19 September 2012: Date and time of digitizing
An advance healthcare directive, also known as living will, personal directive, advance directive, medical directive or advance decision, is a legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions for themselves because of illness or incapacity.
In hospice care, the main guardians are the family care giver(s) and a hospice nurse/team who make periodic visits. Hospice can be administered in a nursing home, hospice building, or sometimes a hospital; however, it is most commonly practiced in the home. [30] Hospice care targets the terminally ill who are expected to die within six months.
The average U.S. hospice has not undergone a full certification inspection in more than 3.5 years, a HuffPost analysis of Medicare data found. HuffPost found 759 hospices that haven’t been inspected in more than 6 years. Nursing home inspections, by contrast, are required by federal law at least every 15 months.
Shutting down a hospice can pose political and practical challenges, the former official said. For example, finding a new provider for current patients can be a huge logistical challenge – and traumatic for the patients themselves. “There are some terrible hospices and you can find some awful stories,” he said.
The National Association for Home Care & Hospice is an association for providers of hospice care in the United States. It represents 33,000 home care and hospice organizations and is based in Washington DC. Bill Dombi is the president. The organization claims that most Medicare Advantage insurers do not appreciate the value of home-based care. [1]
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